The Medical Take: Recent Episodes
Royal College of Physicians and Surgeons of Glasgow
Join Arrianne Laws (Consultant Physician), Daniel Lynagh (Specialty Registrar), Laura Gillespie (Consultant Physician) and their guests as they discuss clinical cases, non-technical factors, leadership and more! The Medical Take is the new fortnightly podcast series from the Royal College of Physicians and Surgeons of Glasgow, aimed at everyone who’s interested in looking after medical patients and improving their practice.
Dr Pauline Grose (Lead Consultant for Medical HDU at Glasgow Royal Infirmary) joins us to talk about the exciting and intimidating topic of HDU. What makes a unit an HDU? How can we best decide which patients will benefit from transfer to HDU? And what are the challenges?
The Faculty of Intensive Care Medicine website
https://www.ficm.ac.uk/
Intensive Care Society website
https://ics.ac.uk/
Scottish Intensive Care Society Audit Group
https://www.sicsag.scot.nhs.uk/index.html
The Society for Acute Medicine
https://www.acutemedicine.org.uk/
Dr David Gray (Consultant in Palliative Care) chats to us about his approach to palliative care, and gives tips and tricks on best management for patients who might be nearing the end of life.
Scottish Palliative Care Guidelines
https://www.palliativecareguidelines.scot.nhs.uk/
Guidance At End Of Life (GAEL) for Health Care Professionals
https://clinicalguidelines.nhsggc.org.uk/palliative-care/guidance-at-end-of-life-gael-for-health-care-professionals-543/
Macmillan Cancer Support – Difficult conversations (including REDMAP)
https://www.macmillan.org.uk/coronavirus/healthcare-professionals/difficult-conversations
Edited by Ryan Norrie
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Daniel and Arrianne are joined by Kirsty Crowe to talk about care of the renal transplant patient.
Edited by Ryan Norrie
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Dr Robert Docking (Consultant in Intensive Care Medicine and Anaesthesia) in conversation with Arrianne about difficult conversations: what are they and how can we make them less difficult for all involved.
NHS GG&C Guidance At End Of Life (GAEL) for Health Care Professionals
https://www.palliativecareggc.org.uk/?page_id=66
Macmillan Difficult conversations
https://www.macmillan.org.uk/coronavirus/healthcare-professionals/difficult-conversations
Cruse Scotland
https://www.crusescotland.org.uk/
Difficult Conversations: We need to talk about dying
https://www.hazelwhitedesign.co.uk/videos/v/difficult-conversations-why-we-need-to-talk-about-dying
With the End in Mind: How to Live and Die Well - Kathryn Mannix
Listen: How to Find the Words for Tender Conversations - Kathryn Mannix
The Way We Die Now - Seamus O'Mahony
Edited by Ryan Norrie
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Nicola Cooper Consultant Physician & Clinical Associate Professor in Medical Education at Nottingham University joins the team to talk about how we make decisions and how we can make better ones. ABC of Clinical Reasoning (2nd edition), edited Nicola Cooper and John Frain.
Edited by Ryan Norrie
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Beth Routledge (Consultant in Acute Medicine) brings us a case to discuss of a pregnant patient with chest pain and teaches us what is the same in the investigation and management of the pregnant and non-pregnant patient, and where we need to think differently.
Show notes:
- Acute care toolkit 15 Managing acute medical problems in pregnancy Nov 2019
https://www.rcplondon.ac.uk/guidelines-policy/acute-care-toolkit-15-managing-acute-medical-problems-pregnancy
- British Thoracic Society guidelines for the management of suspected acute pulmonary embolism
https://thorax.bmj.com/content/58/6/470
- Best Use of Medicines in Pregnancy (BUMPS)
https://www.medicinesinpregnancy.org/
- RCOG Reducing the Risk of Thrombosis and Embolism during Pregnancy and the Puerperium (Green-top Guideline No. 37a)
https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/reducing-the-risk-of-thrombosis-and-embolism-during-pregnancy-and-the-puerperium-green-top-guideline-no-37a/
- MBRRACE-UK (Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK)
https://www.npeu.ox.ac.uk/mbrrace-uk/reports
- The DiPEP study: an observational study of the diagnostic accuracy of clinical assessment, D-dimer and chest x-ray for suspected pulmonary embolism in pregnancy and postpartum
https://pubmed.ncbi.nlm.nih.gov/29782079/
- Diagnosis of Pulmonary Embolism during Pregnancy
https://archive-ouverte.unige.ch/unige:167111
- 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy: The Task Force for the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC)
https://academic.oup.com/eurheartj/article/39/34/3165/5078465?login=true#186438440
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Daniel speaks to David Hunter, Specialty Registrar in Cardiology, about the approach to tachy- and bradyarrhythmias covering their initial treatment in the hospital environment and when to phone your local friendly cardiologist.
Edited by Ryan Norrie
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Our guest for this episode on frailty in older people is Dr Jenni Burton, NES/CSO Clinical Lecturer & Honorary Specialist Registrar at the University of Glasgow and ST6 in Geriatric & General Internal Medicine, discussing what frailty is, what effects it can have, and what we can do about it.
BGS Silver Book 2: https://www.bgs.org.uk/resources/resource-series/silver-book-ii
RCP & SAM Acute Care Toolkit: https://www.rcplondon.ac.uk/file/26896/download
4AT: https://www.the4at.com
SIGN Delirium for patients & carers: https://www.sign.ac.uk/assets/pat157.pdf
Edited by Ryan Norrie
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Hello and welcome to episode 1 of the second series of The Medical Take, a podcast from Royal College of Physicians & Surgeons of Glasgow. I’m Arrianne Laws and I’m Daniel Lynagh and this time we’re talking about the assessment of a patient who has presented with a LOC.
Case history - patient in their 20s found collapsed, awake but confused on a Friday night in town. Was out with friends but got separated,
What are the things that are immediately going through your head?
https://cks.nice.org.uk/topics/epilepsy/diagnosis/differential-diagnosis/
https://cks.nice.org.uk/topics/epilepsy/diagnosis/assessment
Edited by Ryan Norrie
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Dr Celia Jackson joins Laura discussing cases around the diagnosis and management of HIV
Edited by Ryan Norrie
In the final episode of series 1, Dr Beth Routledge and Dr Arrianne Laws discuss headaches in pregnancy. People get headaches all the time, and pregnant patients are no exception. When should we be taking these more seriously and doing more tests, and what treatments can we use for a pregnant patient? We speak to Dr Beth Routledge to find out.
Find out more: https://rcpsg.ac.uk/college/this-is-what-we-do/the-medical-take
We see multiple patients every day who present with shortness of breath, but what's the best way to work them up? How can we tell those with a dangerous problem that needs something done about it now from those with less acute issues? Daniel Lynagh and Laura Gillespie discuss how best to approach the clinical assessment of a breathless patient.
We're joined by Stephen Vargas from Terence Higgins Trust to talk through issues around gender, sexual health and what we can do to be better clinicians looking after LGBT people.
Find out more: https://rcpsg.ac.uk/college/this-is-what-we-do/the-medical-take
Sugars run high in this week’s episode as we discuss diagnosis, investigation and management of patients with diabetic emergencies. We’re joined by Joe Timmons, Specialist Trainee in Diabetics & Endocrinology to guide us through ketoacidosis, hyperosmolar states and more!
Dr Arrianne Laws and Dr Laura Gillespie discuss different presentations of anogenital ulceration. We talk about how to ask those more 'sensitive' questions; what investigations to order; and initial management.
We’re joined by Dr Jennie Cathcart to talk about the presentation, investigation and management of gastrointestinal bleeding. What does the generalist need to know?
A patient presents with raised inflammatory markers and a headache: what should you do? Is this just an older patient with a viral illness and sinusitis or are they in danger of losing their sight and need steroids ASAP? We discuss a case.
Find out more: https://rcpsg.ac.uk/college/this-is-what-we-do/the-medical-take
The creatinine is rising, but you don’t know why. We can help! From initial management to trying to figure out who needs something more sophisticated than a urinalysis checked, we guide you through this everyday clinical problem with our guest Benjamin Elyan.
Find out more: https://rcpsg.ac.uk/college/this-is-what-we-do/the-medical-take
We’ve all been asked for feedback and not known what to say beyond a generic ‘no concerns’, ‘gain more clinical experience’ response. We’ll talk about why doing better matters, and give you tips on giving good-quality feedback.
Find out more: https://rcpsg.ac.uk/college/this-is-what-we-do/the-medical-take
A clinical presentation we’re faced with multiple times a day, which has almost as many possible causes. We talk about how to tease those apart.
Find out more: https://rcpsg.ac.uk/college/this-is-what-we-do/the-medical-take
Join Arrianne Laws (Consultant Physician), Daniel Lynagh (Specialty Registrar) and their guests as they discuss clinical cases, non-technical factors, leadership and more! The Medical Take is the new fortnightly podcast series from the Royal College of Physicians and Surgeons of Glasgow, aimed at everyone who’s interested in looking after medical patients and improving their practice.